PTOTRCTJournal of occupational rehabilitation2021

Two-Year Follow-Up of a Randomized Clinical Trial of Inpatient Multimodal Occupational Rehabilitation Vs Outpatient Acceptance and Commitment Therapy for Sick Listed Workers with Musculoskeletal or Common Mental Disorders.

Lene Aasdahl, Ottar Vasseljen, Sigmund Østgård Gismervik and 2 others

PMID 33765241

WHAT IT FOUND

Inpatient multimodal rehabilitation led to faster and more frequent return to work over two years compared to outpatient therapy.

However, the reduction in total sick leave days did not reach statistical significance. The intensive inpatient program showed clear benefits for work participation.

Key findings

01Participants in the inpatient program achieved sustainable return to work faster and at higher rates than those in the outpatient program.

02The difference in total days on medical benefits between the two groups did not reach statistical significance at two years.

03A smaller proportion of inpatient participants transitioned to long-term work assessment allowance compared to outpatient participants.

STILL TO COME

How it was doneWhat they foundWhat it means for PTsWhat it means for OTs

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What it does not show

Only about 8% of invited individuals accepted participation, which limits the generalizability of the findings to the broader population of sick-listed workers. The study was conducted in Norway, and differences in legislation and social security systems may limit applicability to other countries. Researchers were not blinded to group allocation, though sickness absence data were provided by unaware employees. There was no usual care control group, so it is unclear if either intervention was better than no intervention. The study design cannot identify which specific components of the inpatient program drove the observed effects.

Declared interests

The study was funded by Norges Forskningsråd, Helse Midt-Norge, and NTNU Norwegian University of Science and Technology. No specific commercial conflicts of interest were declared.

The easy way to misread this

Do not conclude that the inpatient program significantly reduced total sick leave days compared to outpatient therapy, as this primary difference did not reach statistical significance. The benefits were seen in the speed and rate of return to work, not necessarily in the total volume of days off.

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